BROADWAY MEDICAL PHARMACY (NPI# 1801072749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801072749 |
| Entity Type | Organization |
| Organization Name | BROADWAY MEDICAL PHARMACY |
| Practice Address |
1673 W Broadway Ste 1 Anaheim CA 92802-1109 |
| Practice Telephone | 7147723630 |
| Mailing Telephone | 7147723630 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |
| Authorized Official Name | VAN THI LE (PHARMACIST IN CHARGE/OWNER) |
| Authorized Official Telephone | 7147723630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY48442 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA484420 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154461085 | Broadway Medical Pharmacy | Pharmacist | 1673 W Broadway Ste 1, Anaheim, CA 92802-1109 | 2007-02-08 |
| Street Address |
1673 W BROADWAY STE 1 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92802-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285707604 | Van P Le | Pharmacist | 1673 W Broadway Ste 1, Anaheim, CA 92802-1109 | 2006-11-15 |
| 1154461085 | Broadway Medical Pharmacy | Pharmacist | 1673 W Broadway Ste 1, Anaheim, CA 92802-1109 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502446 | Riana Jessica Abadilla Ramos | Pharmacist | 1850 S. West Street, Anaheim, CA 92802 | 2020-09-10 |
| 1578102810 | Cristina King | Physician Assistant | 1850 S West Street, Anaheim, CA 92802 | 2020-01-03 |
| 1770009086 | Evangelina Sayre | Counselor | 535 S. Walnut St., Anaheim, CA 92802 | 2017-08-17 |
| 1962870634 | Paragon Compounding Pharmacy, Inc | Pharmacy | 1585 West Broadway Suite A, Anaheim, CA 92802 | 2015-09-11 |
| 1992118376 | Xia Li | Acupuncturist | 1640 W Ball Rd Apt 211, Anaheim, CA 92802 | 2014-06-03 |
| 1215208533 | Dyala D Nguyen | Pharmacist | 1848 S. Ninth St, Anaheim, CA 92802 | 2012-01-18 |
| 1548402597 | Tara Thuy Mai | Pharmacist | 2157 S Spinnaker St, Anaheim, CA 92802 | 2009-04-06 |
| 1710178827 | Florian Medical Clinic Inc. | Clinic/Center | 2090 S Euclid St #104, Anaheim, CA 92802 | 2007-08-05 |
| 1619192309 | Linda L. Schnaible | Marriage & Family Therapist | 1333 South Euclid Street, Anaheim, CA 92802 | 2007-04-16 |
| 1750505293 | Bt Morgan Dental Corp | Dentist | 2300 S. Harbor Blvd, Anaheim, CA 92802 | 2007-04-13 |
| Find all providers in zip 92802 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975239 | Altamed Health Services Corp | Pharmacy | 1325 N Anaheim Blvd, Suite 102, Anaheim, CA 92801-1202 | 2020-02-28 |
| 1225661796 | Rocco Pharmacy Inc | Pharmacy | 1491 E La Palma Ave Ste A, Anaheim, CA 92805-1564 | 2020-02-12 |
| 1720636921 | Cccri Inc | Pharmacy | 2705 W Lincoln Ave, Anaheim, CA 92801-6325 | 2019-08-30 |
| 1235602996 | Hms Pharmacy, Inc | Pharmacy | 2795 W Lincoln Ave Ste K, Anaheim, CA 92801-6334 | 2019-01-05 |
| 1447625769 | Med Choice Pharmacy Inc | Pharmacy | 621 N Euclid St, B, Anaheim, CA 92801-4615 | 2015-12-11 |
| 1962875450 | Dpd Rx Inc | Pharmacy | 3340 W Ball Rd # P, Anaheim, CA 92804-3729 | 2015-11-05 |
| 1952779076 | Nidhi Healthcare, Inc | Pharmacy | 932 S Euclid St, Anaheim, CA 92802-1523 | 2015-09-04 |
| 1396182853 | Han Sam Corp | Pharmacy | 2571 W La Palma Ave., # A, Anaheim, CA 92801 | 2013-05-23 |
| 1013244623 | Tdc Pharmaceutical Corporation Inc. | Pharmacy | 1172 N Euclid St, Anaheim, CA 92801-1900 | 2009-11-03 |
| 1053592865 | Walgreen Co | Pharmacy | 2560 W Ball Rd, Anaheim, CA 92804-4002 | 2007-11-20 |
| Find all providers in ANAHEIM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.